File:Gonorrhea in the male - a practical guide to its treatment (1911) (14593281490).jpg

Identifier: gonorrheainmalep00wolb (find matches)
Title: Gonorrhea in the male : a practical guide to its treatment
Year: 1911 (1910s)
Authors: Wolbarst, A. L. (Abraham Leo), 1872-
Subjects: Gonorrhea Gonorrhea
Publisher: New York : International Journal of Surgery
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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distortion, and dam-age to the canal, caused by the instrument, is fargreater than any practical results derived from it. Having reached the bulb, the obturator is nowwithdrawn, the mucous membrane is lightly swabbedwith dry cotton at the end of a cotton applicator,and the lamp carrier inserted (Fig. 30). Examina-tion of the canal is made by slowly withdrawing thetube, and studying the mucous membrane as it re-cedes from the end of the tube, in the same man-ner as one would study the changing landscape fromthe observation platform of a fast-moving train(Fig. 31). Every portion of the mucous membraneis thus made visible, and the minutest pathologic 120 Gonorrhea in the Male, changes can be noted. Tlie instrument is finallywitlulrawn, and the canal cleansed with a mild anti-septic. The normal and pathologic appearances to be ob-served with the aid of this instrument have beens<i cloaily vet briet).y described by Casper* that Ihave taken the liberty of quoting his words onthe subject:
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Fig. 29. Inserting the urethroscope. ■In normal cases the following picture is pre-sented : At the end of the tube a tunnel is seenwhose l)ase is formed by the edge of the tube, itsnpe.x being further back, and its sides being formedby the walls of the urethra (Gruenfelds centralligure). If the tube lies in the long axis of the *Casper: Text Book of Genito-Urinary Diseases,Eng-lisli translation by C. W. Bonney, pp. 20-24. Anterior Urethroscopy. 121 urethra, this central figure will form the center ofthe urethroscoi^ic picture, having the form of afossette in the deeper portions, and becoming amere fissure at the meatus. The wall of the tunnelis formed by the walls of the urethra, upon whichthe color, lustre, duplicature and striation of themucous membrane are to be observed. In almost all parts of the urethra the normal

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